Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda M Moen, MD

Individual provider Neurology with Special Qualifications in Child Neurology Physician · NPI 1154563401

Amanda M Moen, MD is a Neurology with Special Qualifications in Child Neurology Physician in Minneapolis, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone: (612) 365-6777
Fax: (612) 365-8021
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 University Ave E, Saint Paul, MN 55101-2507 — (651) 720-2803

Specialties & licences

Neurology with Special Qualifications in Child Neurology Physician (primary) Taxonomy 2084N0402X · Licence 58414 (MN)
Neurology with Special Qualifications in Child Neurology Physician Taxonomy 2084N0402X · Licence 107634 (MN)

Record details

NPI number1154563401
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2009
Last updated in NPPESApril 4, 2019

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